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The relationship between helicobacter pylori infection and nodular antral gastritis in pediatric patients
Alaaddin Yorulmaz1, Halil Haldun Emiroğlu2, Meltem Dorum Gümüş2
1Department of Pediatrics, Selçuk University Medical School, Konya, Turkey.
Insights
Helicobacter pylori (H. pylori) infection is common in children and strongly associated with nodular antral gastritis. Early detection of H. pylori is crucial for preventing future complications.
Area of Science:
- Pediatric Gastroenterology
- Infectious Diseases
- Microbiology
Background:
- Helicobacter pylori (H. pylori) is a common bacterial cause of gastric inflammation in children.
- Understanding H. pylori's clinical and histopathological impact in pediatric patients is essential.
Purpose of the Study:
- To evaluate demographic, clinical, and histopathological findings in pediatric patients undergoing upper gastrointestinal endoscopy.
- To assess the association between H. pylori infection and nodular antral gastritis in children.
Main Methods:
- Retrospective analysis of 636 pediatric patients with epigastric pain or dyspeptic complaints.
- Evaluation of endoscopic and histopathological findings, including H. pylori detection via various tests.
Main Results:
- H. pylori infection was detected in 43.6% of pediatric patients.
- Nodular antral gastritis was observed in 44.3% of patients and significantly associated with H. pylori (OR, 39.16).
Conclusions:
- Nodular antral gastritis is a strong indicator of chronic H. pylori infection in children.
- Early H. pylori detection in pediatric patients may reduce long-term complications.
Background:
Helicobacter pylori (H. pylori) is a spiral-shaped gram-negative bacterium that colonizes the gastric mucosa. It is a common infectious agent in children. In this study, we aim to evaluate the demographic data, and the clinical and histopathological findings of pediatric patients that underwent upper gastrointestinal endoscopy (UGSE) in our clinic.
Methods:
Between July 2017 and February 2019, 636 patients applied to the Selcuk University Faculty of Medicine, Pediatric Gastroenterology outpatient clinic with complaints of epigastric abdominal pain and/or dyspeptic complaints. Patients who underwent upper gastrointestinal endoscopy were evaluated retrospectively. Data on age, gender, family history of peptic ulcer disease, and family history of H. pylori were recorded. Endoscopic and histopathological findings were collected from medical records.
Results:
235 (36.9%) of the patients participating in the study were male, and 401 (63.1%) were female. H. pylori infection was detected in 277 (43.6%) patients as a result of histopathological examination of H. Pylori, urea breath tests and H. Pylori antigen tests in the stools of patients are included in the study. Nodular antral gastritis was detected in 282 (44.3%) of our patients endoscopically. H. pylori was detected in 83.7% (n: 236) of the 282 patients with nodular antral gastritis. Nodular antral gastritis was observed to be significantly higher in H. pylori-positive patients than in H. pylori-negative cases (odds ratio (OR), 39.16; 95% confidence interval (CI), 24.88-61.64; p: <0.001).
Conclusion:
Nodular antral gastritis is caused by chronic H. pylori infection. It is predicted that early detection of H. pylori infection in children is important and may decrease complications later in life. Our study shows that all the markers evaluated are very good predictors of H. pylori infection. Positive significant association was found between the prevalence of H. pylori infection and nodular antral gastritis.
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